Spectrum of pediatric head injury with management and outcome – A single tertiary care centre study

Nath, Pratap Chandra; Mishra, Sudhansu Sekhar; Deo, Rama Chandra; Jena, Somnath Prasad

doi:10.1016/j.ijnt.2014.12.010

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…It suggests that pediatric head injuries are less severe and their brain and skull have better compliance than adult one. 12 In our study, it is found that male to female ratio was 3.8:1 with 79.46% males and 20.53% females and it is also comparable to other studies. 6,[13][14][15] Males in the age group of 19 to 40 years are more affected than females with a ratio of Abbreviation: CSF, cerebrospinal fluid; PCA, posterior cerebral artery; MCA, middle cerebral artery.…”

Section: Discussionsupporting

confidence: 91%

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Prognostic Predictors of Decompressive Craniectomy in Traumatic Brain Injury: A Clinical Experience of 128 Cases

Nath

Dhir

Mishra

et al. 2016

IJNT

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Objectives?The objective of this study was to analyze different parameters such as clinicoradiological presentation, surgical outcome, and factors associated with prognosis of traumatic brain injury patients undergoing decompressive craniectomy (DC). Materials and Methods?This observational study was done on all the cases of DC undertaken in our hospital during July 2013 to June 2015. In all cases, the age, sex, mode of injury, severity of injury, associated injuries, indications, computed tomography (CT) finding, complications, and outcomes in the form of morbidity and mortality were analyzed. Results?Out of all head injury patients admitted, only 3.036% underwent DC. The most common age group affected was 19 to 40 years (n?=?49; 43.75%; p-value??40 years, male sex, alcoholics, pupillary dilation, and aspiration pneumonia are the independent factors for increased mortality and disability.

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Section: Discussionsupporting

confidence: 91%

“…(11) In no cases, we used ICP monitor. (12) Clinicoradiological features were taken as guide for management. (13) Despite of these medical managements, refractory cases underwent DC.…”

Section: Course In the Hospitalmentioning

confidence: 99%

Prognostic Predictors of Decompressive Craniectomy in Traumatic Brain Injury: A Clinical Experience of 128 Cases

Nath

Dhir

Mishra

et al. 2016

IJNT

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“…In the present study road traffic accidents were the commonest cause of injuries followed by falls and assault and in literature the incidence of injuries from RTAs ranges from 55 to 72%, followed by falls ranging from 20 to 30% and assaults ranging from 1 to 10% respectively. [5,[18][19][20][21][22] Most of the incident victims were motorcycle riders (skid and fall) followed by motor vehicle drivers and pedestrian injuries These findigns were similar to the fidnigns reopprted in a a prospective case-study from Eastern China where the authors observed that 61% of traumatic brain injuries were related to road traffic injuries, of these approximately one-third were motorcyclists, 31%…”

Section: Discussionsupporting

confidence: 60%

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Sivakumar¹,

Subrahmanyam²,

Phanindra³

et al. 2018

Romanian Neurosurgery

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Introduction: Demographic and clinical profile of traumatic brain injury (TBI) of a particular place is very crucial for strengthening the guidelines. The details of same are scant from a tertiary institute, Nellore district. The present study aims to explore the demographic, injury and clinical aspects of cerebro-cranial injury patients from an institute setup. Methods: The study consists of two years retrospective data and one year prospective data. The study was approved by institute ethical committee. The patient data was entered on pre designed proforma that includes the desired variables. The data analysis was done using StatsDirect software. Both prospective and retrospective data was merged for analysis. Percentages for categorical data and mean values for continuous data were calculated. Results: There were total of 336 patients. Patients in age group of 21 to 50 years constituted 67% and males were four times higher than females. Nearly one fourth of patients were influenced by alcohol. Three fourth of accidents were due to road traffic accidents (RTAs) followed by falls (17%) and assault (6%). About one tenth of patients were pedestrians. One fourth of patients had associated injuries other than head and brain. On CT findings majority of patients had cerebral contusion (46%) followed by skull fracture (40%), SDH (28%) and EDH (23%). Twenty two patients died in the study period. Conclusion: Knowledge of injury and its later consequences to public is very important. Strict rules to consider safety precautions and compulsory family insurances should be encouraged. Rules to prevent paediatric drive.

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Predictors for moderate to severe paediatric head injury derived from a surveillance registry in the emergency department

Chong

Barbier

Liu

et al. 2015

Injury

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Spectrum of pediatric head injury with management and outcome – A single tertiary care centre study

Cited by 3 publications

References 22 publications

Prognostic Predictors of Decompressive Craniectomy in Traumatic Brain Injury: A Clinical Experience of 128 Cases

Prognostic Predictors of Decompressive Craniectomy in Traumatic Brain Injury: A Clinical Experience of 128 Cases

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Predictors for moderate to severe paediatric head injury derived from a surveillance registry in the emergency department

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